Virtual Scoliosis Surgery Using a 3D-Printed Model Based on Biplanar Radiographs

The aim of this paper is to describe a protocol that simulates the spinal surgery undergone by adolescents with idiopathic scoliosis (AIS) by using a 3D-printed spine model. Patients with AIS underwent pre- and postoperative bi-planar low-dose X-rays from which a numerical 3D model of their spine was generated. The preoperative numerical spine model was subsequently 3D printed to virtually reproduce the spine surgery. Special consideration was given to the printing materials for the 3D-printed elements in order to reflect the radiopaque and mechanical properties of typical bones most accurately. Two patients with AIS were recruited and operated. During the virtual surgery, both pre- and postoperative images of the 3D-printed spine model were acquired. The proposed 3D-printing workflow used to create a realistic 3D-printed spine suitable for virtual surgery appears to be feasible and reliable. This method could be used for virtual-reality scoliosis surgery training incorporating 3D-printed models, and to test surgical instruments and implants.

[1]  S. Heo,et al.  Accuracy of a patient-specific 3D-printed drill guide for placement of bicortical screws in atlantoaxial ventral stabilization in dogs , 2022, PloS one.

[2]  D. K. Hamilton,et al.  3D printing applications in spine surgery: an evidence-based assessment toward personalized patient care , 2022, European Spine Journal.

[3]  F. Govsa,et al.  Patient-specific three-dimensional printing spine model for surgical planning in AO spine type-C fracture posterior long-segment fixation , 2022, Acta orthopaedica et traumatologica turcica.

[4]  Mingyi Zhao,et al.  3D Printing Improve the Effectiveness of Fracture Teaching and Medical Learning: A Comprehensive Scientometric Assessment and Future Perspectives , 2021, Frontiers in Physiology.

[5]  K. Wong,et al.  3D printing in orthopaedic surgery: a scoping review of randomized controlled trials , 2021, Bone & joint research.

[6]  J. Koh,et al.  Creation of a three-dimensional printed spine model for training in pain procedures , 2021, The Journal of international medical research.

[7]  Kuo-Ping Chang,et al.  Application of 3D-Printed Model in the Cervical Spine Osteochondroma Surgery: A Case Report. , 2021, Ear, nose, & throat journal.

[8]  Xin Xin,et al.  A 3D-printed Personalized, Combined, Modular Pedicle Subtraction Osteotomy Guide Plate System , 2021, Spine.

[9]  H. Elleaume,et al.  Surgivisio® and O-arm®O2 cone beam CT mobile systems for guidance of lumbar spine surgery: Comparison of patient radiation dose. , 2021, Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics.

[10]  Michael A Markovitz,et al.  Role of 3D Printing and Modeling to Aid in Neuroradiology Education for Medical Trainees. , 2021, Federal practitioner : for the health care professionals of the VA, DoD, and PHS.

[11]  Owen P. Leary,et al.  3D-Printed Anatomic Modeling for Surgical Planning and Real-Time Operative Guidance in Complex Primary Spinal Column Tumors: Single-Center Experience and Case Series. , 2020, World neurosurgery.

[12]  S. Ruatti,et al.  3D-imaging in percutaneous spine surgery using the Surgivisio system. , 2020, Orthopaedics & traumatology, surgery & research : OTSR.

[13]  A. Senkoylu,et al.  3D printing and spine surgery , 2020, Journal of orthopaedic surgery.

[14]  M. Pichelmann,et al.  Investigation of a three‐dimensional printed dynamic cervical spine model for anatomy and physiology education , 2020, Clinical anatomy.

[15]  M. Pichelmann,et al.  The SpineBox: A Freely Available, Open-access, 3D-printed Simulator Design for Lumbar Pedicle Screw Placement , 2020, Cureus.

[16]  Munjal S Shah,et al.  Does Three-Dimensional Printed Patient-Specific Templates Add Benefit in Revision Surgeries for Complex Pediatric Kyphoscoliosis Deformity with Sublaminar Wires in Situ? A Clinical Study , 2020, Asian spine journal.

[17]  Michael A. Bohl,et al.  The Living Spine Model: A Biomimetic Surgical Training and Education Tool. , 2019, Operative neurosurgery.

[18]  J. Bendo,et al.  Three-Dimensional Printing in Spine Surgery: A Review of Current Applications. , 2019, The spine journal : official journal of the North American Spine Society.

[19]  S. Gandhi,et al.  3D printing in spine surgery. , 2019, Annals of translational medicine.

[20]  K. ReFaey,et al.  Development of a Novel 3D Printed Phantom for Teaching Neurosurgical Trainees the Freehand Technique of C2 Laminar Screw Placement. , 2019, World neurosurgery.

[21]  Rui Wang,et al.  Effectiveness of personalized 3D printed models for patient education in degenerative lumbar disease. , 2019, Patient education and counseling.

[22]  M. Farshad,et al.  Three-dimensionally printed vertebrae with different bone densities for surgical training , 2018, European Spine Journal.

[23]  W. Ni,et al.  The addition of 3D printed models to enhance the teaching and learning of bone spatial anatomy and fractures for undergraduate students: a randomized controlled study. , 2018, Annals of translational medicine.

[24]  P. D'urso,et al.  Designing patient-specific solutions using biomodelling and 3D-printing for revision lumbar spine surgery , 2018, European Spine Journal.

[25]  B. Garg,et al.  Current status of 3D printing in spine surgery. , 2018, Journal of clinical orthopaedics and trauma.

[26]  Jie Zhao,et al.  3D-printing techniques in spine surgery: the future prospects and current challenges , 2018, Expert review of medical devices.

[27]  W. Hsu,et al.  3D Printing in Spine Surgery , 2018, Contemporary Spine Surgery.

[28]  K. Choi,et al.  Use of a life-size three-dimensional-printed spine model for pedicle screw instrumentation training , 2018, Journal of Orthopaedic Surgery and Research.

[29]  Zhongjun Liu,et al.  3D Printing in Spine Surgery. , 2018, Advances in experimental medicine and biology.

[30]  Omar Tanweer,et al.  The utility of a multimaterial 3D printed model for surgical planning of complex deformity of the skull base and craniovertebral junction. , 2016, Journal of neurosurgery.

[31]  Jian-Shun Wang,et al.  The Accuracy of a Method for Printing Three-Dimensional Spinal Models , 2015, PloS one.

[32]  K. Noonan,et al.  Comparing results of posterior spine fusion in patients with AIS: Are two surgeons better than one? , 2013, Journal of orthopaedics.

[33]  Milan Sonka,et al.  3D Slicer as an image computing platform for the Quantitative Imaging Network. , 2012, Magnetic resonance imaging.

[34]  Hubert Labelle,et al.  Diagnostic Imaging of Spinal Deformities: Reducing Patients Radiation Dose With a New Slot-Scanning X-ray Imager , 2010, Spine.

[35]  J. Auerbach,et al.  Thoracic Pedicle Screw Instrumentation: The Learning Curve and Evolution in Technique in the Treatment of Adolescent Idiopathic Scoliosis , 2009, Spine.

[36]  W Skalli,et al.  3D reconstruction of the spine from biplanar X-rays using parametric models based on transversal and longitudinal inferences. , 2009, Medical engineering & physics.